Document Detail

Does the number of pregnancies affect patterns of great saphenous vein reflux in women with varicose veins?
MedLine Citation:
PMID:  20656957     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Impact of pregnancies on great saphenous vein (GSV) reflux patterns deserves clarification. Which GSV segment is most affected? Is the saphenofemoral junction (SFJ) involved? METHODS: Colour-flow duplex ultrasonography was performed in 583 women extremities with primary varicose veins (clinical, aetiological, anatomical and pathological elements [CEAP C2]), without oedema, skin changes or ulcer. Women with previous thrombosis or varicose surgery were excluded. GSV reflux sources and drainage points were located at SFJ, thigh, knee and calf. Prevalence of most proximal reflux source was noted as a function of 0, 1, 2, 3 and 4 or more pregnancies. chi(2) statistics was employed. RESULTS: Prevalence of GSV reflux was not dependent on 0, 1, 2, 3 or >or=4 pregnancies: 75%, 69%, 79%, 70% and 76% for right leg (P = 0.79) and 78%, 81%, 82%, 79% and 73% for left leg (P = 0.87), respectively. Prevalence of SFJ reflux and GSV reflux, starting at the thigh, knee or calf, was similar and showed no tendencies to increase with number of pregnancies. CONCLUSIONS: Number of pregnancies did not influence GSV reflux patterns in women with primary varicose veins.
C A Engelhorn; M F Cassou; A L Engelhorn; S X Salles-Cunha
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Phlebology / Venous Forum of the Royal Society of Medicine     Volume:  25     ISSN:  1758-1125     ISO Abbreviation:  Phlebology     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-26     Completed Date:  2010-11-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9012921     Medline TA:  Phlebology     Country:  England    
Other Details:
Languages:  eng     Pagination:  190-5     Citation Subset:  IM    
Pontifícia Universidade Católica do Paraná, Curitiba, PR, PR, Brazil.
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MeSH Terms
Aged, 80 and over
Brazil / epidemiology
Middle Aged
Pregnancy Complications, Cardiovascular / epidemiology*,  ultrasonography
Risk Factors
Saphenous Vein* / ultrasonography
Ultrasonography, Doppler, Duplex
Varicose Veins / epidemiology*,  ultrasonography
Venous Insufficiency / epidemiology*,  ultrasonography
Young Adult

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